Evergreen Post Acute
EVERGREEN POST ACUTE in SMYRNA, DE — inspection on April 17, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of R130's clincial record revealed:
3/7/25 - R130 was admitted to the facility.
085020
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 085020 B.
Wing 04/17/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Evergreen Post Acute 3034 South Dupont Blvd Smyrna, DE 19977
The facility failed to initiate EBP for R14 until eight months (from 4/1/24 to 11/22/24) after the new guidelines were mandated.
4/16/25 - 12:01 PM -
During an interview, E2 (DON) confirmed that R14 has had a colostomy since he has been in the facility.
2.
Review of R639's clinical record revealed:
6/21/24 - R639 was admitted to the facility with diagnoses including but not limited to, chronic obstructive pulmonary disease.
085020
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 085020 B.
Wing 04/17/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Evergreen Post Acute 3034 South Dupont Blvd Smyrna, DE 19977
7/30/24 - R112 was admitted to the facility.
8/27/24 3:12 PM - A physician's order documented that R112 was on contact isolation due to scabies for fourteen days.
11/9/24 - A physicians order was written for R112 consult to dermatology related to scabies.
11/13/24 - A specialist physician's (dermatologist) progress note documented that R112 was not contagious and to remove isolation precautions.
4/15/25 10:30 AM - An interview with C2 (NP) and C5 (NP) confirmed that R112 was on contact precautions from 8/27/24 to 11/13/24.
There was a ten week delay in consulting the dermatologist resulting in R112 being in isolation for 78 days.
47621
2. R644's clinical record revealed:
Cross refer